Colorectal Cancer during the COVID-19 Pandemic Era: A Case Series in Phonthong Hospital, Roi-Et Province
Keywords:
Colon cancer, Rectal cancer, COVID-19Abstract
Background and Object: Colorectal cancer (CRC) was the fourth most common cancer in Thailand. During COVID-19 pandemic, CRC screening program was not performed. advanced stage of CRC. Maybe increased. This study aimed to the impact of COVID-19 pandemic on incidence of CRC at Phontong hospital, Roi-Et province.
Methods: A cross-sectional descriptive study, between July 2021 and December 2021, COVID-19 pandemic period. We included newly CRC patients. The data analyzed the following variable included age, gender, tumor location, staging and treatment modality.
Results: During 6 months period, we evaluated 16 patients who newly diagnosed CRC. The most frequent staging was stage IV, in 68.75% followed by stage III 31.25% of cases, there were no stage 0, I and II. All of patients (100%) presented clinically node positive represented advanced TNM stage. The most common location of cancer was rectum (56.25%) followed by descending and rectosigmoid colon (12.5%) equally. Emergency clinical presentation was 37.5%, all of them presented as obstructive symptom. Curative surgery was performed in 25%, whereas 75% of the cases were palliati ve care
Conclusion: There was increasing advanced stage of CRC during COVID-19 pandemic represented increase a low survival rate and mortality rate in CRC patients.
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